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General NPI Number Information
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NPI Number | 1528623683
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Entity Type | Organization
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Legal Business Name | WELLNESS WITHIN YOU LLC
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Dates
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Enumeration Date | 05/04/2019
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 609 W JOHNSON AVE UNIT 310
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City | CHESHIRE
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State | CT
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Zip | 06410-4505
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Country | US
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Telephone | 203-718-6087
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Fax |
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Provider Business Mailing Address
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Address Line | 9 SUNSET RIDGE DR
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City | SOUTHINGTON
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State | CT
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Zip | 06489-4637
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Country | US
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Telephone | 203-718-6087
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | RACHEL STEPHEN
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Credential |
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Telephone | 203-718-6087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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